Unilateral keratoconus in a child with chronic and persistent eye rubbing - 18/08/11
: FRCOphthRésumé |
Purpose |
To report a case of unilateral keratoconus in a 7- year-old female, secondary to chronic persistent eye-rubbing in the absence of any systemic condition.
Design |
Observational case report.
Methods |
In the case of this child, no organic cause was found to explain the onset of keratoconus other than persistent eye-rubbing in the affected eye.
Results |
Nocturnal eye padding was instigated and the condition stabilized. She was reviewed over a 2-year period of follow-up.
Conclusions |
Eye-rubbing has been implicated in the pathogenesis of keratoconus. Eye-rubbing is also often a feature of a number of conditions linked to keratoconus such as Down syndrome, atopic keratoconjunctivitis, mental retardation, and Lebers’ congenital amaurosis. There are a number of reports linking eye-rubbing and keratoconus in children, typically in relation to these conditions. However, in this case the keratoconus was secondary to chronic and persistent eye-rubbing in a healthy child.
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Vol 139 - N° 2
P. 356-357 - février 2005 Retour au numéro
Article précédent
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- Toshiyuki Yokoyama, Yasuo Watanabe, Shigekuni Okisaka, Akira Murakami
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